Black, Dana E

Black, Dana E is an individual health care provider with primary practice located at 2312 W Main St Ste 117 , Battle Ground WA 98604-4233. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Black, Dana E can be contacted via phone (360) 687-7147.

Contact Information

Primary practice address
2312 W Main St Ste 117 Battle Ground WA 98604-4233
Phone: (360) 687-7147
Fax: (360) 687-2866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00009536 Washington

Profile Details

NPI number 1952460453
LBN Legal business name Black, Dana E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952460453 NPPES
Washington Other 188232 L & I
Washington Other PT00009536 L & I
Washington MEDICAID 8405763 L & I
Washington Other 5772HI L & I

Popular Providers